Hi. I happen to agree with both of you on this thread... MY OPINION on this is not really as a future Lap-Band receipient (6/1/07) but as a Recovery Room nurse at a hospital that happens to be a Bariatric Center. I agree, the FIRST thing you do when considering this surgery is find the best, most reputable surgeon you can get your hands on!! (or rather their hands on you...lol) After that, either decide it's worth the money, or don't do the surgery at all. This is your life, it's your body, and you only get one shot at it. Complications can still arise if you have the best in the business, so why make it any easier for them to occur??
As far as Mexico, it is my personal opinion that it should be avoided. This is not a direct jab at Mexico itself, just the fact that indeed if something goes wrong, you're screwed. I have assisted my surgeon in the operating room on SEVERAL cases inwhich he is trying to correct problems on surgeries performed in Mexico - it just so happens ALL of our corrections were due to malpractice and not "nature" or patient error.
Again, this is not a jab at Mexican surgeons. And again, it goes back to doing your research... BUT some things to consider are these:
We have a crazy-ass "I'm gonna sue you if you look at me wrong" attitude (which I DO NOT agree with) in this country that doctors are VERY aware of and frankly, afraid of. However, malpractice insurance exists for a reason, and if a doctor in the US actually commits malpractice during your surgery whether by breaking sterile technique, doing a procedure in a sloppy manner, not being available to you for post-op complications, etc.. (the list goes on forever) that surgeon will be sued, and the patient will win...everytime! Therefore, surgeons in the US are much more likely to not KNOWINGLY commit malpractice. But we all know that ACCIDENTS, however, of course happen in all countries.
Also, the procedure should be performed at a Certified Bariatric facility that is accredited by "Joint Commission". Any hospital in the US worth its salt is going to have this accreditation! You just have to KNOW that your instruments are going to be sterile, your surgery room disinfected, and the gloves and gowns used on you sterile as well. Although you have to trust that surgical procedures are followed correctly, you will not find procedures that protect you any better than those in the US.
Again, you can get an infection or other complication at any hospital in any country. Everyone should pick the best surgeon and facility you can find. A "cheap" surgery is a bad surgery. This is your life! It just comforts me, as a nurse and a patient, that in the US there are laws in place that protect patients from surgeons who don't care about you and facilities that aren't clean. I'm lucky that I know what goes on at my facility behind the surgical doors... I know how the instruments are autoclaved, I know who cleans the rooms and how that is done, I know how long our surgeons scrub their hands and that their are timers that start as soon as the water is activated, and I know my surgeon and have witnessed him performing procedures many times. With all this knowledge, I feel safe putting my life in their hands on June 1, 2007. With all that said, and all my comforts, I also know that complications may still arise... and that's why I pray...
Again, just expressing my opinion as a surgical nurse in the good ole USA!